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Routine preoperative biliary drainage: effect on management of obstructive jaundice
- Source :
- Radiology. 152(2)
- Publication Year :
- 1984
-
Abstract
- The routine application of preoperative percutaneous transhepatic biliary drainage (PTBD) to patients who have obstructive jaundice has a significant effect on overall morbidity, mortality, and patient survival by allowing selective application of the most appropriate therapeutic modality. Surgical patients who undergo PTBD were compared with those for whom PTBD was not available. The surgical complication rate was 44% for those who did not undergo PTBD and 15% for those who did. The surgical procedure-related mortality rate was 30% for those who did not undergo PTBD and 12% for those who did. These differentials may have been due either to a beneficial effect of presurgical decompression or to the fact that only more favorable candidates were selected for operative internal bypass. There was an overall increase in length of survival following the application of PTBD, especially in those patients who were surgical candidates.
- Subjects :
- Adult
Male
medicine.medical_specialty
Biliary drainage
Surgical complication
Cholestasis
business.industry
Decompression
Mortality rate
Patient survival
Middle Aged
Surgery
Postoperative Complications
Preoperative Care
Medicine
Drainage
Humans
Radiology, Nuclear Medicine and imaging
Obstructive jaundice
Female
Percutaneous transhepatic biliary drainage
business
Surgical patients
Aged
Subjects
Details
- ISSN :
- 00338419
- Volume :
- 152
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Radiology
- Accession number :
- edsair.doi.dedup.....1ea44ef77a64c1b83433ccdd057a346d